What should I do if there are 4-5 broken skin red spots on the inside of the foreskin?

Patient's question:

Patient Gender: Male: Hello, I have recently developed about 4-5 red, scaly spots on the inside of my foreskin, which are visible when I pull it back. There is no discharge, but sometimes they can be itchy, and touching them can be painful. What could this be? 1~ Is it serious? Thank you! What medicine can solve this?
First Follow-up Question: Thank you~ How long will it take to see results if I wash like this? ?? But if it's another condition, will it delay the treatment period?~~~

Doctor's answer:

??????Penile balanoposthitis is a common disease. It is divided into balanitis and posthitis, and is often called balanoposthitis of the penis because they frequently occur simultaneously. This inflammation can be infectious or non-infectious, with infectious balanoposthitis being more common in clinical practice. Infectious cases are usually caused by exposure to pathogens such as Candida albicans, Trichomonas vaginalis, Chlamydia trachomatis, Mycoplasma genitalium, Neisseria gonorrhoeae, or other bacteria through unprotected sexual contact. Non-infectious factors are often due to excessive foreskin, inadequate hygiene, or the accumulation of unclean substances between the foreskin and glans, known as smegma, which can irritate the local foreskin and mucosa, leading to inflammation. Treatment primarily involves using anti-inflammatory medications tailored to the specific infectious agent, along with maintaining good local hygiene.

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